Question

Cesarean birth following prolonged rupture of membranes and cephalopelvic disproportion.

Answer 1

Correct Answers

Blank 1 Correct Option: Endometritis
Blank 2 Correct Option: Monitor the administration of an oxytocic medication and Plan to administer broad-spectrum antibiotic medication.
Blank 3 Correct Option: Temperature and Lochia amount and odor

Rationale :

🔹 Fever, chills, malaise, and decreased appetite are classic systemic signs of infection postpartum.

🔹 Boggy, tender uterus at the level of the umbilicus suggests uterine infection.

🔹 Foul-smelling, dark brown lochia is indicative of bacterial infection of the endometrium.

🔹 Recent cesarean birth and prolonged rupture of membranes increase risk of postpartum infection.

🔹 Bottle-feeding rules out mastitis as primary cause of systemic symptoms.

Plan to administer broad-spectrum antibiotic medication and Monitor the administration of an oxytocic medication

🔹 Treats the underlying bacterial infection in the uterus.

🔹 Prevents progression to sepsis.

🔹 Supports resolution of systemic symptoms.

🔹 Facilitates uterine contraction to reduce bleeding and prevent stasis.

🔹 Supports involution and clearance of infected lochia.

🔹 Enhances uterine tone and reduces risk of hemorrhage.

Temperature and Lochia amount and odor

🔹 Key indicator of infection progression or improvement.

🔹 Monitored to evaluate response to antibiotics.

🔹 Allows early detection of sepsis or worsening infection.

🔹 Provides insight into uterine recovery and infection status.

🔹 Foul odor or increased amount indicates persistence or worsening of infection.

🔹 Monitoring helps guide nursing interventions and physician follow-up.

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Answer 2

Correct Answers

Blank 1 Correct Option: diabetic diet
Blank 2 Correct Option: 30 cal/kg/day

Rationale :

🟢 Gestational diabetes requires dietary management to control maternal blood glucose.

🟢 Diabetic diet helps maintain euglycemia and supports fetal growth.

🟢 Caloric prescription of 30 cal/kg/day is appropriate for overweight or obese pregnant clients to manage weight gain and glucose control.

🟢 Education includes carbohydrate counting, meal timing, and portion control.

🟢 Supports safe pregnancy outcomes, reducing risk of macrosomia, preeclampsia, and cesarean delivery.

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Answer 3

Correct Answers:

A client who received magnesium sulfate during labor

Rationale :

🟢 Magnesium sulfate can cause respiratory depression and hypotension, which are life-threatening postpartum complications.

🟢 This client requires the highest priority assessment to ensure safety.

🟢 Other clients’ issues (oligohydramnios history, latching difficulties, short labor) are lower priority.

🟢 Early intervention can prevent severe maternal complications.

🟢 Monitoring includes vital signs, reflexes, and urine output to detect toxicity.

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Answer 4

Correct Answers:

"Make sure anyone caring for or transporting your baby is wearing an identification badge."

Rationale :

🟡 Proper identification prevents newborn abduction.

🟡 All personnel should be easily identifiable to parents and staff.

🟡 Placing baby in the bassinet or carrying in hallways does not guarantee safety.

🟡 Discarding or hiding ID bands increases risk of misidentification.

🟡 Education reinforces vigilance and adherence to security protocols.

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Answer 5

Correct Answers:

Eat dry, bland foods in the morning.

Rationale :

🔵 Eating dry, bland foods helps reduce morning nausea associated with early pregnancy.

🔵 Prevents triggering vomiting by avoiding heavy or greasy foods first thing.

🔵 Encourages small, frequent meals throughout the day for symptom relief.

🔵 Adequate hydration should still be maintained, but not restricting fluids drastically.

🔵 Antacids are not effective for typical early pregnancy nausea unless prescribed for reflux.

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Answer 6

Correct Answers:

Chicken breast

Rationale :

🟢 Heme iron – Chicken breast contains heme iron, which is more readily absorbed than non-heme iron from plant sources.

🟢 Maternal blood volume – During pregnancy, blood volume increases, and iron is essential to support hemoglobin production.

🟢 Prevention of anemia – Adequate iron intake prevents iron-deficiency anemia, reducing maternal fatigue and complications.

🟢 Bioavailability – Plant-based foods like carrots, apples, and feta cheese contain non-heme iron, which is less efficiently absorbed.

🟢 Fetal growth and oxygenation – Sufficient iron intake supports oxygen delivery to the fetus and proper fetal development.

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Answer 7

Correct Answers:

"I will apply witch hazel pads after urination

Rationale :

🟢 Soothing and healing – Witch hazel pads help reduce discomfort, irritation, and swelling from episiotomy and hemorrhoids.

🟢 Hygiene – Applying the pads after urination helps maintain cleanliness and prevents infection.

🟢 Pain relief – Provides non-pharmacologic relief without interfering with healing.

🟢 Proper self-care understanding – Demonstrates the client knows how to manage perineal discomfort safely.

🟢 Supports postpartum recovery – Promotes healing and comfort, enhancing overall postpartum care.

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Answer 8

Correct Answers:

1 cup cooked spinach

Rationale :

🟢 High folate content – Cooked spinach is rich in folate (vitamin B9), essential for DNA synthesis and fetal development.

🟢 Neural tube defect prevention – Adequate folate intake in the first trimester reduces the risk of spina bifida and other neural tube defects.

🟢 Better than other options – Orange juice, eggs, and pasta contain folate but in lower amounts per serving.

🟢 Supports maternal health – Folate aids in red blood cell formation, preventing anemia.

🟢 Dietary recommendation – Encouraging folate-rich foods is crucial before supplementation or alongside prenatal vitamins.

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Answer 9

Correct Answers:

Place breast shells in the client's bra

Rationale :

🟢 Eversion support – Breast shells help draw out inverted nipples, facilitating proper latch for breastfeeding.

🟢 Improves milk transfer – Correct nipple positioning enhances infant feeding efficiency.

🟢 Avoid restrictive bras – Underwire or tight bras may worsen inversion or cause discomfort.

🟢 Breast creams and plastic-lined pads do not correct nipple inversion.

🟢 Promotes successful breastfeeding and maternal comfort during postpartum care.

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Answer 10

Correct Answers:

Move the seat as far away as possible from the steering wheel

Rationale :

🟢 Reduces abdominal trauma – Increasing distance from the steering wheel protects the gravid uterus in case of a collision.

🟢 Proper seat positioning – Helps ensure lap and shoulder belts function safely without compressing the abdomen.

🟢 Lap belt placement – Should lie low across the pelvis, not high on the abdomen.

🟢 Shoulder harness placement – Should cross the chest and clavicle, not the uterus.

🟢 Airbags – Should remain enabled, as disabling increases risk of injury.

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PN Maternal Newborn 2023

No.

1 :
Cesarean birth following prolonged rupture of membranes and cephalopelvic disproportion.

Correct Answers

2 :
A nurse at a provider's office is caring for a client.

Correct Answers

3 :
A nurse has just received change-of-shift report about four clients who are postpartum. Which of the following clients should the nurse plan to see first?

4 :
A nurse is reinforcing teaching about safety measures for preventing newborn abduction with a client who is postpartum. Which of the following statements should the nurse make?

5 :
A nurse is caring for a client who is at 9 weeks of gestation and reports nausea in the morning that continues until midafternoon. Which of the following actions should the nurse encourage the client to take?

6 :
A nurse is reinforcing teaching with a client who is at 18 weeks of gestation and requires an increased intake of iron. Which of the following foods should the nurse recommend as the best source of iron?

7 :
A nurse is reinforcing teaching about perineal care to a client who is 2 hr postpartum and has an episiotomy and hemorrhoids. Which of the following statements by the client indicates understanding of the teaching?

8 :
A nurse is reinforcing teaching with a client who is in the first trimester of pregnancy about increasing their intake of foods that are high in folate. Which of the following should the nurse recommend as the food with the highest folate content?

9 :
A nurse is caring for a client who is postpartum and has inverted nipples. Which of the following actions should the nurse take?

10 :
A nurse is reinforcing teaching about safety precautions to take when driving a car with a client who is in the first trimester of pregnancy. Which of the following instructions should the nurse include in the teaching

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PN Maternal Newborn 2023

No.

1 : Cesarean birth following prolonged rupture of membranes and cephalopelvic disproportion.

Correct Answers

2 : A nurse at a provider's office is caring for a client.

Correct Answers

3 : A nurse has just received change-of-shift report about four clients who are postpartum. Which of the following clients should the nurse plan to see first?

4 : A nurse is reinforcing teaching about safety measures for preventing newborn abduction with a client who is postpartum. Which of the following statements should the nurse make?

5 : A nurse is caring for a client who is at 9 weeks of gestation and reports nausea in the morning that continues until midafternoon. Which of the following actions should the nurse encourage the client to take?

6 : A nurse is reinforcing teaching with a client who is at 18 weeks of gestation and requires an increased intake of iron. Which of the following foods should the nurse recommend as the best source of iron?

7 : A nurse is reinforcing teaching about perineal care to a client who is 2 hr postpartum and has an episiotomy and hemorrhoids. Which of the following statements by the client indicates understanding of the teaching?

8 : A nurse is reinforcing teaching with a client who is in the first trimester of pregnancy about increasing their intake of foods that are high in folate. Which of the following should the nurse recommend as the food with the highest folate content?

9 : A nurse is caring for a client who is postpartum and has inverted nipples. Which of the following actions should the nurse take?

10 : A nurse is reinforcing teaching about safety precautions to take when driving a car with a client who is in the first trimester of pregnancy. Which of the following instructions should the nurse include in the teaching

1 :
Cesarean birth following prolonged rupture of membranes and cephalopelvic disproportion.

2 :
A nurse at a provider's office is caring for a client.

3 :
A nurse has just received change-of-shift report about four clients who are postpartum. Which of the following clients should the nurse plan to see first?

4 :
A nurse is reinforcing teaching about safety measures for preventing newborn abduction with a client who is postpartum. Which of the following statements should the nurse make?

5 :
A nurse is caring for a client who is at 9 weeks of gestation and reports nausea in the morning that continues until midafternoon. Which of the following actions should the nurse encourage the client to take?

6 :
A nurse is reinforcing teaching with a client who is at 18 weeks of gestation and requires an increased intake of iron. Which of the following foods should the nurse recommend as the best source of iron?

7 :
A nurse is reinforcing teaching about perineal care to a client who is 2 hr postpartum and has an episiotomy and hemorrhoids. Which of the following statements by the client indicates understanding of the teaching?

8 :
A nurse is reinforcing teaching with a client who is in the first trimester of pregnancy about increasing their intake of foods that are high in folate. Which of the following should the nurse recommend as the food with the highest folate content?

9 :
A nurse is caring for a client who is postpartum and has inverted nipples. Which of the following actions should the nurse take?

10 :
A nurse is reinforcing teaching about safety precautions to take when driving a car with a client who is in the first trimester of pregnancy. Which of the following instructions should the nurse include in the teaching